Rare: Passing urine triggers seizures in case of a 6-year-old

Last month, My Medical Mantra reported about a young boy who would get seizures if anyone touched his right hand. Seizures evoked by a specific stimuli is known as reflex seizures. Now, a 6-year-old is getting treatment for her unusual trigger for epilepsy – passing urine

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Epilepsy is a rather difficult disease to deal with. If it is true then anything can trigger seizures, the cause of the trigger is very important to be identified.

Reflex seizures are triggers that are caused by reflexes. Last month, My Medical Mantra reported about a young boy who would get seizures if anyone touched his right hand. Seizures evoked by a specific stimuli is known as reflex seizures. Reflex epilepsy comprises of 5% of all epilepsies. The stimulus for this reflex could be anything ranging from lights to music.

Another 6-year-old, from Mumbai, is now under treatment for her epileptic seizures. Sulekha Shroff (name changed) was brought to Dr Neelu Desai with a unique case last year. She would get seizures each time she passed urine (micturition in medical terms).

“Since past 15 days of her visit, Shroff showed paroxysmal events during micturition. Each time on voiding, she would get bilateral lower limb jerking for about 15 seconds, followed by paralysis of both lower limbs. She had 10-12 such episodes daily,” said Dr Desai, a paediatric neurologist at PD Hinduja Hospital.

Currently, under treatment, the girl is much better now. “She comes for follow-up almost every month. When she came this month, she was doing much better. The initial cause of her epileptic seizure is still unknown, but definitely, she is doing fine,” added Dr Desai.

The case was studied in detail and published as an individual study in the Journal of Neurology & Neurophysiology. It states, ‘Micturition reflex epilepsy is an extremely rare form of reflex epilepsy with not more than 12 cases described in literature’.

“Reflex seizures are not rare. However, the stimulus here is rare. One must know that these triggers are manifestations of the seizures and only after a structural evaluation can any treatment be given,” said Dr Dattatreya Majumdar, a neurology and epileptic surgeon at KEM Hospital.